Individual
MR. DAN F DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3107 JASMINE ST, BRENHAM, TX 77833-7105
(979) 836-0972
(979) 836-0972
Mailing address
3107 JASMINE ST, BRENHAM, TX 77833-7105
(979) 836-0972
(979) 836-0972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741648333
TAX ID
TX
Enumeration date
07/26/2006
Last updated
10/26/2010
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